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1720532617
ANTHONY STEWART NELSON
MIDVALE, UT
NPI
1720532617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: UT 7594774-4405)
Enumeration Date
2016-08-08
Last Update Date
2021-11-08
Business Address
ANTHONY STEWART NELSON APRN
7495 S STATE ST
MIDVALE, UT 84047-2013
Phone number: 801-213-9400
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Mailing Address
ANTHONY STEWART NELSON APRN
PO BOX 45180
SALT LAKE CITY, UT 84145-0180
Phone number: 801-587-6303
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